The challenges of diagnosis, and the institution’s role as a mirror

Wiest, Jeremie

The challenges of diagnosis, and the institution’s role as a mirror - 2016.


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We present the case of a teenager who questioned the correctness of his diagnosis via the transference established between the patient and his place of care. Based on this case, we question the role played by the “borderline” category within the institutional and social fabric that has been set up to deal with adolescent problems. Through the concept of madness, doubts concerning the split between neurosis and psychosis displace the “borderline” problematics of psychiatry in order to grasp their limitations in a treatment which, from the outset, is based on inter- institutional links, which, today more than ever, are being called into question.

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